Intrauterine Contraceptive Devices and Risk of Pelvic Inflammatory Disease

Steen, Richard; Shapiro, Katharine

doi:10.1016/s0968-8080(04)23123-8

Cited by 40 publications

(16 citation statements)

References 21 publications

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“…Timothy M M Farley and Richard Steen in their study stated that PID among IUD users is most strongly related to insertion process and to the background risk of sexually transmissible disease. [17,18] • Majority of the patients who had vaginal discharge along with low back pain belonged to the age group of 40-50 years, which was similar to the results of Sachdeva PK et al study. [19] • Number of patients with the inflammatory cells in their Pap smear report was 154 (51.33%) in the present study.…”

Section: Discussionsupporting

confidence: 84%

Pelvic Inflammatory Disease: How frequent it is Among the Women Presenting with Low Back Pain

Ghosh¹,

Dessa²

2018

AIMDR

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Section: Discussionsupporting

confidence: 84%

Pelvic Inflammatory Disease: How frequent it is Among the Women Presenting with Low Back Pain

Ghosh¹,

Dessa²

2018

AIMDR

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“…Recent reviews suggest that the overall risk of PID with modern IUDs is lower than previously thought, at least in regions where medical advice is followed by the patients, and where there is a low prevalence of sexually transmitted infections (STIs). The risk of PID may be higher, however, in places where gonorrhoea and chlamydia are prevalent, where screening for STIs is limited and where it is difficult to ensure aseptic conditions for insertion (Steen & Shapiro, 2004). It is hard to explain the reasons behind the extreme long-term wearing of IUDs in a large number of our patients, but it seems to have a connection with a lower educational level and poor personal hygiene.…”

Section: Resultsmentioning

confidence: 87%

Biofilm formation on intrauterine devices in relation to duration of use

Pál

Urbán

Dósa

et al. 2005

Journal of Medical Microbiology

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Intrauterine devices (IUDs) are highly effective, long-term methods of contraception; however, IUD use is limited due to concerns about an increased risk of pelvic inflammatory disease (PID) and subsequent complications. A retrospective review of clinical and microbiological data of 127 participants was carried out over a 3 year period. IUDs were removed and sent for microbiological examination. A 10 year old IUD, removed because of the symptoms of PID, was investigated via both microbial culture and scanning electron microscopy. The primary objective of this study was to examine the bacteria present on removed IUDs after different times in situ by using aerobic and anaerobic culture methods. A close association of the distribution of aerobic and anaerobic bacteria on the IUDs with different times in situ was found.

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“…Some authors have raised caution in advising IUD use for women at risk of STIs and pelvic inflammatory disease (PID), such as sex workers or other women in a context of high STI prevalence. 25 Female and male sterilisation Female sterilisation is often the most commonly used family planning method in developing countries, whereas in developed countries reversible methods are more popular. 26 Some studies have shown that HIV positive status influences fertility intentions, 27 especially the desire to stop childbearing among those who have completed their families, who therefore may favour the choice of a permanent method.…”

Section: Contraceptive Options and Dual Protectionmentioning

confidence: 99%

“…Testing for cervical infections before inserting an IUD for an HIVpositive woman has been recommended. 25 However, in low-resource settings this may not be feasible. In the absence of screening tests for cervical infections, presumptive treatment before insertion could be a pragmatic approach, bearing in mind that a copper IUD is effective for up to ten years.…”

Section: Service Delivery Implicationsmentioning

confidence: 99%

Reproductive Choice for Women and Men Living with HIV: Contraception, Abortion and Fertility

Delvaux¹,

Nöstlinger

2007

Reproductive Health Matters

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From a policy and programmatic point of view, this paper reviews the literature on the fertility-related needs of women and men living with HIV and how the entry points represented by family planning, sexually transmitted infection and HIV-related services can ensure access to contraception, abortion and fertility services for women and men living with HIV. Most contraceptive methods are safe and effective for HIV positive women and men. The existing range of contraceptive options should be available to people living with HIV, along with more information about and access to emergency contraception. Potential drug interaction must be considered between hormonal contraception and treatment for tuberculosis and certain antiretroviral drugs. Couples living with HIV who wish to use a permanent contraceptive method should have access to female sterilisation and vasectomy in an informed manner, free of coercion. How to promote condoms and dual protection and how to make them acceptable in long term-relationships remains a challenge. Both surgical and medical abortion are safe for women living with HIV. To reduce risk of vertical transmission of HIV and in cases of infertility, people with HIV should have access to sperm washing and other assisted conception methods, if these are available. Simple and cost-effective procedures to reduce risk of vertical transmission should be part of counselling for women and men living with HIV who intend to have children. Support for the reproductive rights of people with HIV is a priority. More operations research on best practices is needed. A2007 Reproductive Health Matters. All rights reserved.

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Intrauterine Contraceptive Devices and Risk of Pelvic Inflammatory Disease

Cited by 40 publications

References 21 publications

Pelvic Inflammatory Disease: How frequent it is Among the Women Presenting with Low Back Pain

Pelvic Inflammatory Disease: How frequent it is Among the Women Presenting with Low Back Pain

Biofilm formation on intrauterine devices in relation to duration of use

Reproductive Choice for Women and Men Living with HIV: Contraception, Abortion and Fertility

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